Perimenopause and menopause

Symptoms vary from one woman to another. The most common signs are changes in menstrual cycles. Periods may become more frequent at first, then irregular and more spaced out.

Hot flushes are often the most noticeable warning sign, along with night sweats. Sleep and mood disturbances are also common, as well as a decrease in libido.

Nadège Roquet, intimate surgeon & aesthetic gynaecologist

The median age for the onset of perimenopause is around 47, while the average age of menopause is 51. However, there is significant individual variability. Duration is influenced by factors such as the age at which cycle disturbances begin, ethnicity and body mass index.

The median duration is around four years, but it may last up to eight years for some women.

Nadège Roquet, intimate surgeon & aesthetic gynaecologist

Perimenopause is a key period for prevention, during which the body’s adaptive capacity remains high. Hormonal fluctuations influence blood sugar regulation, low-grade inflammation, stress response, sleep and neuro-emotional balance. An unsuitable lifestyle can amplify these imbalances and contribute to the persistence of symptoms.

Key levers include a nutrient-dense diet providing adequate protein, fibre, micronutrients and quality fats, while limiting glycaemic fluctuations. Respecting biological rhythms and prioritising sleep quality are essential for proper hormonal axis function. Managing chronic stress is crucial, as it directly affects the hypothalamic–pituitary–adrenal axis. Finally, regular physical activity, including strength training, supports lean mass, insulin sensitivity and overall metabolic health.

Claire Borwin, dietitian nutritionist

During perimenopause and menopause, micronutrient and functional needs evolve, while physiological adaptation systems are more heavily solicited. In this context, food supplements can offer targeted support, provided they are rigorously formulated and integrated into a holistic approach.

Magnesium, combined with vitamin B6, contributes to normal nervous system function, reduced fatigue and the regulation of hormonal activity. Ashwagandha, an adaptogenic plant, supports the body’s stress response and helps maintain neuroendocrine balance. Saffron has documented benefits for emotional balance and mood, which are often affected by hormonal fluctuations. Wild yam, traditionally used to support feminine comfort, fits into a gentle hormonal support approach that is particularly relevant during transition phases.

A supplement such as M-Balance+ therefore fits into a physiological support strategy aimed at reinforcing the body’s adaptive capacity in the face of hormonal fluctuations — not as a substitute for a healthy lifestyle, but as a way to strengthen the body’s natural regulatory mechanisms.

Claire Borwin, dietitian nutritionist